Diabetes mellitus is a chronic disorder in human and responsible for different complications and also causes mortality and morbidity. A wide number of herbal products are employed in the treatment of diabetes for their better efficacy and safety compared to synthetic medicine. The present studies have established the antidiabetic potential and rejuvenating capacity of kidney tissues under the effect of extract. Diabetes was induced in the Swiss albino mice by injecting alloxan at the dose of 150?mg/kg body weight and aqueous extract of Momordica charantia fruits at doses of 100?mg/kg body weight and 250?mg/kg body weight was administered orally for three weeks. After 21 days of treatment of the aqueous extracts of Momordica charantia significantly reduces serum glucose level, kidney function tests, lipid peroxidation as well as histopathological study also did show adverse alternation in the morphological architecture of the kidney tissue. Thus, from this study we concluded that Momordica charantia exhibited significant antihyperglycemic and rejuvenating capacity of kidney tissues activities in alloxan induced diabetic mice. 1. Introduction Diabetes mellitus (DM) is possibly the world’s fastest growing metabolic disorder and as the knowledge of the heterogeneity of this disorder increases so does the need for more appropriate therapies [1]. DM is a pathologic condition, resulting in severe metabolic imbalances and nonphysiologic changes in many tissues, where oxidative stress plays an important role in the aetiology [1, 2]. Diabetes is associated with the generation of reactive oxygen species (ROS) which cause oxidative damage, particularly to heart, kidney, eyes, nerves, liver, small and large blood vessels, and immunological and gastrointestinal system [1, 3]. Diabetic nephropathy (DN) is one of the important microvascular complications of diabetes mellitus. Recent studies indicate that reactive oxygen species (ROS) play a key intermediate role in the pathophysiology of diabetic nephropathy [4]. Hyperglycaemia, the main determinant of the initiation and progression of diabetic nephropathy, not only generates more reactive oxygen metabolites but also attenuates antioxidative mechanisms through nonenzymatic glycosylation of antioxidant enzymes [1]. The mechanism by which hyperglycaemia causes free radical generation and thus causes oxidative stress is complex. High glucose concentration directly increases hydrogen peroxide production by murine mesangial cells and lipid peroxidation of glomeruli and glomerular mesangial cells [5]. Hyperglycaemia promotes
References
[1]
N. Orsolic and I. Basic, “Honey bee products and their polyphenolic compounds in treatment of diabetes,” in Phytopharmacology and Therapetutic Values IV, J. N. Govil and V. K. Singh, Eds., vol. 22, pp. 455–471, Stadium Press, 2008.
[2]
K. K. M. Yue, W.-S. Chung, A. W. N. Leung, and C. H. K. Cheng, “Redox changes precede the occurrence of oxidative stress in eyes and aorta, but not in kidneys of diabetic rats,” Life Sciences, vol. 73, no. 20, pp. 2557–2570, 2003.
[3]
I. G. Obrosova, A. G. Minchenko, R. Vasupuram et al., “Aldose reductase inhibitor fidarestat prevents retinal oxidative stress and vascular endothelial growth factor overexpression in streptozotocin-diabetic rats,” Diabetes, vol. 52, no. 3, pp. 864–871, 2003.
[4]
H. Ha, I.-A. Hwang, J. H. Park, and H. B. Lee, “Role of reactive oxygen species in the pathogenesis of diabetic nephropathy,” Diabetes Research and Clinical Practice, vol. 82, no. 1, pp. S42–S45, 2008.
[5]
L. M. Ruiz-Mu?oz, F. Vidal-Vanaclocha, and I. Lampreabe, “Enalaprilat inhibits hydrogen peroxide production by murine mesangial cells exposed to high glucose concentrations,” Nephrology Dialysis Transplantation, vol. 12, no. 3, pp. 456–464, 1997.
[6]
J. V. Hunt, M. A. Bottoms, and M. J. Mitchinson, “Oxidative alterations in the experimental glycation model of diabetes mellitus are due to protein-glucose adduct oxidation: some fundamental differences in proposed mechanisms of glucose oxidation and oxidant production,” Biochemical Journal, vol. 291, no. 2, pp. 529–535, 1993.
[7]
M. Anjaneyulu and K. Chopra, “Effect of irbesartan on the antioxidant defence system and nitric oxide release in diabetic rat kidney,” American Journal of Nephrology, vol. 24, no. 5, pp. 488–496, 2004.
[8]
K. K. M. Yue, S.-N. Leung, P.-M. Man et al., “Alterations in antioxidant enzyme activities in the eyes, aorta and kidneys of diabetic rats relevant to the onset of oxidative stress,” Life Sciences, vol. 77, no. 7, pp. 721–734, 2005.
[9]
N. Or?oli?, G. Gajski, V. Garaj-Vrhovac, D. Crossed D Signiki?, Z. ?. Prskalo, and D. Sirovina, “DNA-protective effects of quercetin or naringenin in alloxan-induced diabetic mice,” European Journal of Pharmacology, vol. 656, no. 1–3, pp. 110–118, 2011.
[10]
J. C. Will, F. Vinicor, and E. E. Calle, “Is diabetes mellitus associated with prostate cancer incidence and survival?” Epidemiology, vol. 10, no. 3, pp. 313–318, 1999.
[11]
P. Maisonneuve, L. Agodoa, R. Gellert et al., “Cancer in patients on dialysis for end-stage renal disease: an international collaborative study,” The Lancet, vol. 354, no. 9173, pp. 93–99, 1999.
[12]
N. Wadood, M. Nisar, A. Rashid, A. Wadood, and A. Khan, “Effect of a compound recipe (medicinal plants) on serum insulin levels of alloxan induced diabetic rabbits,” Journal of Ayub Medical College, Abbottabad, vol. 19, no. 1, pp. 32–38, 2007.
[13]
W. D. Winters, Y. S. Huo, and D.-L. Yao, “Inhibition of the progression of type 2 diabetes in the C57BL/6J mouse model by an anti-diabetes herbal formula,” Phytotherapy Research, vol. 17, no. 6, pp. 591–598, 2003.
[14]
N. Wadood, A. Wadood, and M. Nisar, “Effect of Ficus relegiosa on blood glucose and total lipid levels of normal and alloxan diabetic rabbits,” Journal of Ayub Medical College, Abbottabad, vol. 15, no. 4, pp. 40–42, 2003.
[15]
E. H. Karunanayake and K. H. Tennekoon, “Search of novel hypoglycaemic agents from medicinal plants,” in Diabetes Mellitus and Its Complications-An Update, A. K. Sharma, Ed., pp. 192–196, Macmillan, India, 2003.
[16]
A. P. Jayasooriya, M. Sakono, C. Yukizaki, M. Kawano, K. Yamamoto, and N. Fukuda, “Effects of Momordica charantia powder on serum glucose levels and various lipid parameters in rats fed with cholesterol-free and cholesterol- enriched diets,” Journal of Ethnopharmacology, vol. 72, no. 1-2, pp. 331–336, 2000.
[17]
J. Welihinda, E. H. Karunanayake, M. H. R. Sheriff, and K. S. A. Jayasinghe, “Effect of Momordica charantia on the glucose tolerance in maturity onset diabetes,” Journal of Ethnopharmacology, vol. 17, no. 3, pp. 277–282, 1986.
[18]
J. Pitipanapong, S. Chitprasert, M. Goto, W. Jiratchariyakul, M. Sasaki, and A. Shotipruk, “New approach for extraction of charantin from Momordica charantia with pressurized liquid extraction,” Separation and Purification Technology, vol. 52, no. 3, pp. 416–422, 2007.
[19]
A. Paul and S. S. Raychaudhuri, “Medicinal uses and molecular identification of two Momordica charantia varieties - a review,” Electronic Journal of Biology, vol. 6, no. 2, pp. 43–51, 2010.
[20]
H.-L. Cheng, H.-K. Huang, C.-I. Chang, C.-P. Tsai, and C.-H. Chou, “A cell-based screening identifies compounds from the stem of Momordica charantia that overcome insulin resistance and activate AMP-activated protein kinase,” Journal of Agricultural and Food Chemistry, vol. 56, no. 16, pp. 6835–6843, 2008.
[21]
D. Lorke, “A new approach to practical acute toxicity testing,” Archives of Toxicology, vol. 54, no. 4, pp. 275–287, 1983.
[22]
T. Szkudelski, “The mechanism of alloxan and streptozotocin action in B cells of the rat pancreas,” Physiological Research, vol. 50, no. 6, pp. 537–546, 2001.
[23]
S. Lenzen, “The mechanisms of alloxan- and streptozotocin-induced diabetes,” Diabetologia, vol. 51, no. 2, pp. 216–226, 2008.
[24]
H. Van Herck, V. Baumans, C. J. W. M. Brandt et al., “Orbital sinus blood sampling in rats as performed by different animal technicians: the influence of technique and expertise,” Laboratory Animals, vol. 32, no. 4, pp. 377–386, 1998.
[25]
P. Trinder, “Determination of glucose in blood using glucoseoxidase with an alternative oxygen acceptor,” Annals of Clinical Biochemistry, vol. 6, pp. 24–27, 1969.
[26]
J. K. Fawcett and J. E. Scott, “A rapid and precise method for the determination of urea,” Journal of Clinical Pathology, vol. 13, pp. 156–159, 1960.
[27]
P. Fossati, L. Prencipe, and G. Berti, “Use of 3,5-dichloro-2-hydroxybenzenesulfonic acid/4-aminophenazone chromogenic system in direct enzymic assay of uric acid in serum and urine,” Clinical Chemistry, vol. 26, no. 2, pp. 227–231, 1980.
[28]
B. T. Doumas, W. Ard Watson, and H. G. Biggs, “Albumin standards and the measurement of serum albumin with bromcresol green,” Clinica Chimica Acta, vol. 31, no. 1, pp. 87–96, 1971.
[29]
O. H. Lowry, N. J. Rosehmugh, A. L. Farr, and R. J. Randall, “Protein measurement with the Folin phenol reagent,” The Journal of Biological Chemistry, vol. 193, no. 1, pp. 265–275, 1951.
[30]
R. W. Bonsnes and H. H. Taussky, “On the colorimetric determination of Creatinine by the Jaffe reaction,” The Journal of Biological Chemistry, vol. 158, pp. 581–591, 1945.
[31]
H. Ohkawa, N. Ohishi, and K. Yagi, “Assay for lipid peroxides in animal tissues by thiobarbituric acid reaction,” Analytical Biochemistry, vol. 95, no. 2, pp. 351–358, 1979.
[32]
D. E. Kleiner, E. M. Brunt, M. Van Natta et al., “Design and validation of a histological scoring system for nonalcoholic fatty liver disease,” Hepatology, vol. 41, no. 6, pp. 1313–1321, 2005.
[33]
S. S. Katewa, B. L. Chaudhary, and A. Jain, “Folk herbal medicines from tribal area of Rajasthan, India,” Journal of Ethnopharmacology, vol. 92, no. 1, pp. 41–46, 2004.
[34]
K. Rajagopal and K. Sasikala, “Antihyperglycaemic and antihyperlipidaemic effects of Nymphaea stellata in alloxan-induced diabetic rats,” Singapore Medical Journal, vol. 49, no. 2, pp. 137–141, 2008.
[35]
D. A. Allen, S. Harwood, M. Varagunam, M. J. Raftery, and M. M. Yaqoob, “High glucose-induced oxidative stress causes apoptosis in proximal tubular epithelial cells and is mediated by multiple caspases,” The FASEB Journal, vol. 17, no. 8, pp. 908–910, 2003.
[36]
S. S. Chung, E. C. Ho, K. S. Lam, and S. K. Chung, “Contribution of poloyl pathway to diabetes-induced oxidative stress,” Journal of the American Society of Nephrology, vol. 14, no. 8, pp. 233–236, 2003.
[37]
M. M. Dallak, P. D. Mikhailidis, A. M. Haidara et al., “Oxidative stress as a common mediator for apoptosis induced-cardiac damage in diabetic rats,” The Open Cardiovascular Medicine Journal, vol. 2, pp. 70–78, 2008.
[38]
N. P. C. Fernandes, C. V. Lagishetty, V. S. Panda, and S. R. Naik, “An experimental evaluation of the antidiabetic and antilipidemic properties of a standardized Momordica charantia fruit extract,” BMC Complementary and Alternative Medicine, vol. 7, article 29, 2007.
[39]
X.-Q. Yuan, X.-H. Gu, J. Tang, and J. Wasswa, “Hypoglycemic effect of semipurified peptides from Momordica charantia L. var. Abbreviata Ser. in alloxan-induced diabetic mice,” Journal of Food Biochemistry, vol. 32, no. 1, pp. 107–121, 2008.
[40]
P. Chaturvedi, S. George, M. Milinganyo, and Y. B. Tripathi, “Effect of Momordica charantia on lipid profile and oral glucose tolerance in diabetic rats,” Phytotherapy Research, vol. 18, no. 11, pp. 954–956, 2004.
[41]
P. Luzi, M. A. Rafi, T. Victoria, G. B. Baskin, and D. A. Wenger, “Characterization of the rhesus monkey galactocerebrosidase (GALC) cDNA and gene and identification of the mutation causing globoid cell leukodystrophy (Krabbe disease) in this primate,” Genomics, vol. 42, no. 2, pp. 319–324, 1997.
[42]
B. A. Salau, O. Osilesi, G. O. Idowu, S. Musa, and E. O. Ajani, “Effects of fruits and vegetables on cardiovascular disease risk factors in non-insulin dependent diabetes mellitus (NIDDM) subjects,” African Journal of Medical and Pharmaceutical Sciences, vol. 7, pp. 21–26, 2003.
[43]
A. M. L. Dans, M. V. C. Villarruz, C. A. Jimeno et al., “The effect of Momordica charantia capsule preparation on glycemic control in Type 2 Diabetes Mellitus needs further studies,” Journal of Clinical Epidemiology, vol. 60, no. 6, pp. 554–559, 2007.
[44]
A. Eidi, M. Eidi, and M. Sokhteh, “Effect of fenugreek (Trigonella foenum-graecum L.) seeds on serum parameters in normal and streptozotocin-induced diabetic rats,” Nutrition Research, vol. 27, no. 11, pp. 728–733, 2007.
[45]
S. K. Rashmi and D. Kumar, “Antidiabetic effect of Euphorbia hirta leaves in alloxan induced diabetic mice,” Pharmacologyonline, vol. 1, pp. 61–69, 2010.
[46]
S. Ahmed, M. A. Awal, M. M. Rahman, and M. Mostofa, “Comparative efficacy of neem and karela with insulin and glibenclamide on biochemical parameters in rabbit,” Journal of Animal and Veterinary Advances, vol. 4, no. 2, pp. 221–223, 2005.
[47]
P. D. Mayne, “Lipid metabolism,” in Clinical Chemistry in Diagnosis and Treatment, pp. 240–243, Clays publisher, London, UK, 6th edition, 1993.
[48]
J. Virdi, S. Sivakami, S. Shahani, A. C. Suthar, M. M. Banavalikar, and M. K. Biyani, “Antihyperglycemic effects of three extracts from Momordica charantia,” Journal of Ethnopharmacology, vol. 88, no. 1, pp. 107–111, 2003.
[49]
A. Aloulou, K. Hamden, D. Elloumi et al., “Hypoglycemic and antilipidemic properties of kombucha tea in alloxan-induced diabetic rats,” BMC Complementary and Alternative Medicine, vol. 12, article 63, 2012.
[50]
N. Hfaiedh, J .C. Murat, and A. Elfeki, “Diabetes-induced damages in rat kidney and brain and protective effects of natural antioxidants,” Journal of Nutrition & Food Sciences, vol. 3, no. 4, 2013.
[51]
M. G. Moghaddam, I. Ansari, M. Roghani, and M. Moradi, “The Effects of Origanum Majorana on oxidative stress and histopathology of renal tissue among streptozotocin-induced diabetic rat,” Thrita Journal of Medical Sciences, vol. 2, no. 1, pp. 29–34, 2013.
[52]
A. C. Guyton and J. E. Hall, Textbook of Medical Physiology, WB Saundersp, Philadelphia, Pa, USA, 10th edition, 2000.
[53]
G. L. Bakris, “Diabetic nephropathy: What you need to know to preserve kidney function,” Postgraduate Medicine, vol. 93, no. 5, pp. 89–93, 1993.
[54]
T. Tuvemo, U. Ewald, M. Kobbah, and L. A. Proos, “Serum magnesium and protein concentrations during the first five years of insulin-dependent diabetes in children,” Acta Paediatrica, International Journal of Paediatrics, Supplement, vol. 86, no. 418, pp. 7–10, 1997.
[55]
N. Makare, S. Bodhankar, and V. Rangari, “Immunomodulatory activity of alcoholic extract of Mangifera indica L. in mice,” Journal of Ethnopharmacology, vol. 78, no. 2-3, pp. 133–137, 2001.
[56]
T. P. Almdal and H. Vilstrup, “Strict insulin therapy normalises organ nitrogen contents and the capacity of urea nitrogen synthesis in experimental diabetes in rats,” Diabetologia, vol. 31, no. 2, pp. 114–122, 1988.
[57]
A. Bener, M. Zirie, and A. Al-Rikabi, “Genetics, obesity, and environmental risk factors associated with type 2 diabetes,” Croatian Medical Journal, vol. 46, no. 2, pp. 302–307, 2005.
[58]
J. L. Evans, I. D. Goldfine, B. A. Maddux, and G. M. Grodsky, “Oxidative stress and stress-activated signaling pathways: a unifying hypothesis of type 2 diabetes,” Endocrine Reviews, vol. 23, no. 5, pp. 599–622, 2002.
[59]
R. Rahimi, S. Nikfar, B. Larijani, and M. Abdollahi, “A review on the role of antioxidants in the management of diabetes and its complications,” Biomedicine and Pharmacotherapy, vol. 59, no. 7, pp. 365–373, 2005.
[60]
Y. Y. Soon and B. K. H. Tan, “Evaluation of the hypoglycemic and anti-oxidant activities of Morinda officinalis in streptozotocin-induced diabetic rats,” Singapore Medical Journal, vol. 43, no. 2, pp. 77–85, 2002.
[61]
D. Sathishsekar and S. Subramanian, “Antioxidant properties of Momordica Charantia (bitter gourd) seeds on Streptozotocin induced diabetic rats,” Asia Pacific Journal of Clinical Nutrition, vol. 14, no. 2, pp. 153–158, 2005.
[62]
X.-F. Zhang and B. K.-H. Tan, “Antihyperglycaemic and anti-oxidant properties of Andrographis paniculata in normal and diabetic rats,” Clinical and Experimental Pharmacology and Physiology, vol. 27, no. 5-6, pp. 358–363, 2000.
[63]
A. Kalaivani, A. Umamaheswari, A. Vinayagam, and K. Kalaivani, “Anti-hyperglycemic and antioxidant properties of Cassia auriculata leaves and flowers on alloxan induced diabetic rats,” Pharmacologyonline, vol. 1, pp. 204–217, 2008.